Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.80 / $7,340.00 / $13,413.92	Facility		$1,242.80	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,144.88 / $2,144.88 / $2,387.04	Professional		$2,144.88	$2,144.88	$2,387.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $625.79 / $1,416.91	Professional		$625.79	$625.79	$1,416.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.38 / $573.98 / $3,413.47	Facility		$474.38	$573.98	$3,413.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $941.28 / $1,268.31 / $2,287.25	Professional		$941.28	$1,268.31	$2,287.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.25 / $1,772.55 / $2,314.35	Professional		$1,396.25	$1,772.55	$2,314.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $650.16 / $3,413.47	Facility		$573.98	$650.16	$3,413.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $494.00 / $1,833.15 / $2,563.77	Professional		$494.00	$1,833.15	$2,563.77
United Facility/Professional Professional Modifier Low / Median / High Price $504.07 / $1,133.52 / $3,432.48	Professional		$504.07	$1,133.52	$3,432.48